A comprehensive health service evaluation and monitoring framework

Carole Reeve, John Humphreys, John Wakerman

    Research output: Contribution to journalArticleResearchpeer-review

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    Abstract

    Objective: To develop a framework for evaluating and monitoring a primary health care service, integrating hospital and community services.

    Method: A targeted literature review of primary health service evaluation frameworks was performed to inform the development of the framework specifically for remote communities. Key principles underlying primary health care evaluation were determined and sentinel indicators developed to operationalise the evaluation framework. This framework was then validated with key stakeholders.

    Results: The framework includes Donabedian's three seminal domains of structure, process and outcomes to determine health service performance. These in turn are dependent on sustainability, quality of patient care and the determinants of health to provide a comprehensive health service evaluation framework. The principles underpinning primary health service evaluation were pertinent to health services in remote contexts. Sentinel indicators were developed to fit the demographic characteristics and health needs of the population. Consultation with key stakeholders confirmed that the evaluation framework was applicable.

    Conclusion: Data collected routinely by health services can be used to operationalise the proposed health service evaluation framework. Use of an evaluation framework which links policy and health service performance to health outcomes will assist health services to improve performance as part of a continuous quality improvement cycle.

    Original languageEnglish
    Pages (from-to)91-98
    Number of pages8
    JournalEvaluation and Program Planning
    Volume53
    Early online date28 Aug 2015
    DOIs
    Publication statusPublished - 1 Dec 2015

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    Health Services Research
    health services
    Health Services
    health service
    monitoring
    evaluation
    Primary Health Care
    primary health care
    Health
    Social Welfare
    Quality of Health Care
    stakeholder
    Quality Improvement
    health
    performance
    Service evaluation
    Health services
    Monitoring
    Patient Care
    Referral and Consultation

    Cite this

    Reeve, Carole ; Humphreys, John ; Wakerman, John. / A comprehensive health service evaluation and monitoring framework. In: Evaluation and Program Planning. 2015 ; Vol. 53. pp. 91-98.
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    A comprehensive health service evaluation and monitoring framework. / Reeve, Carole; Humphreys, John; Wakerman, John.

    In: Evaluation and Program Planning, Vol. 53, 01.12.2015, p. 91-98.

    Research output: Contribution to journalArticleResearchpeer-review

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